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Study suggests worsening trends in headache management

Each year more than 12 million Americans visit their doctors complaining of headaches, which result in lost productivity and costs of upward of $31 billion annually.  
medicalnewstoday.com
over 6 years ago
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Salt, not high blood pressure, may be to blame for that headache

Departing from the belief that a special diet aimed at lowering high blood pressure can ease headaches, a new study suggests it is simply salt intake that is the culprit.  
medicalnewstoday.com
over 6 years ago
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Preliminary results further confirms the effectiveness of electroCore's non-invasive vagus nerve stimulation treatment for headache

Preliminary results of an open-label trial carried in the journal of Headache and Pain reported that a single treatment with electroCore's hand held non-invasive vagus nerve stimulation...  
medicalnewstoday.com
over 6 years ago
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Bariatric surgery may be risk factor for severe headache

Spontaneous intracranial hypotension - a leaking of spinal fluid - causes severe headaches. Weight-loss surgery patients may be particularly at risk for this condition.  
medicalnewstoday.com
over 6 years ago
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Migraine sufferers may find meditation helps

A small study finds migraine sufferers who learned and practiced mindfulness-based stress reduction had fewer, less severe headaches than those who received standard care.  
medicalnewstoday.com
over 6 years ago
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Acute Headache in the Emergency Department - emdocs

Differentiating and identifying the dangerous headaches in the emergency department  
emdocs.net
over 6 years ago
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Morning Report: 6/24/2014 - The Original Kings of County

Case#1: A 45 year-old man helmeted motorcyclist struck by van, negative loss of consciousness, and currently GCS 15 and appropriate but complaining of headache. CT scan shows a small, lenticular hematoma along the left-parietal extradural space consistent with acute epidural hematoma. It measures 9 mm at the greatest and there is no appreciable midline shift. What is the most appropriate neurosurgical intervention?  
blog.clinicalmonster.com
over 6 years ago
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Post Lumbar Puncture Headaches - R.E.B.E.L. EM - Emergency Medicine Blog

Lumbar puncture is a commonly performed procedure in the emergency department. Post lumbar puncture headache is not an infrequent complication from LPs.  
rebelem.com
over 6 years ago
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Education special: Headache

Stream Education special: Headache by BMJ talk medicine from desktop or your mobile device  
feeds.bmj.com
over 6 years ago
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Emergency Medicine Literature of Note: The Case of the Bloody Lumbar Punctures

Would welcome your thoughts on this article - Sensitivity of computed tomography performed within six hours of onset of headache for diagnosis of subarachnoid haemorrhage: prospective cohort study. BMJ 2011; 343. Perry JJ, et al.many thanks, Chris  
emlitofnote.com
over 6 years ago
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Pediatric Ataxia

Thanks to our own Ross Simcoe, MD for providing this case history   HPI A 12 yo male with pmhx of headaches presents with a headache that began 4 days  
jeffem.org
over 6 years ago
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Podcast of the week: concussion – Don't Forget the Bubbles

Ken Milne and Anthony Crocco discuss paediatric concussion. How long should patients rest up at home before returning to their normal activities? And can IV hypertonic saline help relieve a concussion-related headache?  
dontforgetthebubbles.com
over 6 years ago
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SGEM#41: Ultra Spinal Tap (Ultrasound Guided Lumbar Puncture)

Case Scenario: A 66YO man presents with a 48hr history of fever, lethargy and headache. No significant past medical history. On physical examination he has a temperature of 38.8C, GCS 15, stiff neck on flexion and no rash. Urinalysis and CXR are normal. Laboratory testing reports an elevated WBC with a left shift. You decide he needs a LP to check for meningitis.  
thesgem.com
over 6 years ago
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Lab Case 56 – Interpretation

<10%  Background level in smoker 10%     mild H 20%     dizziness, N, dyspnoea, throbbing headache 30%     Vertigo, ataxia, visual disturbance 40%     confusion, coma, seizures, syncope 50%     CVS, Respiratory failure, arrhythmia, seizures, death  
emergucate.com
over 6 years ago
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Approach to the pregnant patient with headache | EMBlog Mayo Clinic

Authors: Jessica Schoen, M.D., Ronna L. Campbell, M.D. and Annie T. Sadosty, M.D. Published in Western Journal of Emergency Medicine Cl…  
emblog.mayo.edu
over 6 years ago
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Lab Case 61

A 65 year old man presents to your ED complaining of general weakness, backache and headaches. He has recently arrived in the country from England.  
emergucate.com
over 6 years ago
Sinaiem dark
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peek-through-the-orbit

32 yo overweight female presents with a headache.  This headache is similar to prior headaches, which she gets frequently.  The rest of her story seems consistent with a migraine and her physical exam, including a through neuro exam, is normal.  However, you still feel concerned because she’s in the right demographic for idiopathic intracranial hypertension.  You think the optic disc looked okay, but if you’re anything like me you’re not super confident in that assessment.  What is another modality you could use to assess for increased intracranial pressure?  How good of a test is it?   
sinaiem.org
over 6 years ago
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Headaches Health Rant

If you suffer from any type of headache, you definitely need to watch this and be sure to check out our full health talk videos for more detailed information...  
youtube.com
over 6 years ago
Www.bmj
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Inadequate neurology services undermine patient care in the UK

“Neurology for the masses” announced The BMJ’s then editor, Richard Smith, in 1999.1 Old stereotypes may associate neurology with rare syndromes and a fondness for diagnosis not treatment, he went on, but it is also a specialty of common illnesses such as epilepsy and Parkinson’s disease. He might also have mentioned that neurological symptoms include some of the commonest complaints such as headache and fatigue. Sixteen years on and despite a doubling of consultants, a damning parliamentary report,2 thrombolysis for stroke, and an awareness of increasing neurodegenerative disease only people living in select areas, or able to travel, will encounter a neurologist. The Neurological Alliance, a patients’ organisation in England, reports that 31% of patients had to see their primary care doctor five or more times, and 40% waited more than 12 months with symptoms before seeing one.3 The UK is the only developed nation with this problem. We have one neurologist per 90 000 people4; the European average is one per 15 000,5 and in the United States concern has been expressed that one per 19 000 isn’t enough.6  
feeds.bmj.com
over 6 years ago
Emlogomini 1
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Emergency Medicine Literature of Note: Get on the Haloperidol Wagon

Bummer.There's at least one trial of olanzapine for undifferentiated headache in the ED, and it seems efficacious. I would wonder if it has some of the same effects as haloperidol and droperidol, but I'm not well-versed enough in its pharmacology to say.  
emlitofnote.com
over 6 years ago